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U.S.
Department of Health and Human Services
Advisory Committee on Organ Transplantation
Recommendation 42
The Committee
(ACOT) met on May 9-10, 2005, in Rockville, MD, and unanimously
agreed on the following recommendation:
Recommendation
42: ACOT recommends to the Secretary that the OPTN be asked
to expeditiously consider all issues associated with the development
of a registry for matching living donors and recipients, paying
particular attention to informed consent and the monitoring
of long-term outcomes of the donors.
ACOT has
heard from a number of interested parties, including public
comments from living donors and family members of living donors
who later had adverse outcomes, regarding concerns about the
proliferation of websites that solicit organ donation from
living donors. ACOT understands that the OPTN has formed an
Ad Hoc Committee on Public Solicitation for Donation that
is in the process of soliciting public comment to get input
on Internet facilitated transplantation. ACOT believes that
the OPTN should continue to move this process along quickly,
including the consideration of having the OPTN develop a registry
for matching living donors and recipients.
ACOT Recommendations
1-7 addressed many of the issues surrounding living donation,
and ACOT is concerned that a number of its initial recommendations
have not been fully implemented. Recommendation 1 urged implementation
of ethical principles and informed consent standards for all
living donors. Recommendation 3 urged creation of a database
of health outcomes of all living donors. In particular, ACOT
is concerned that provisions in living donor informed consent
cannot be fulfilled without the existence of a living donor
registry.
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